Clark, Erica
Clark, Erica is an sole proprietor health care provider with primary practice located at 455 Dix Lee On Dr Ste 1110 , Fayetteville GA 30214-3013. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Erica can be contacted via phone (404) 623-8955.Contact Information
Primary practice address
455 Dix Lee On Dr Ste 1110
Fayetteville GA 30214-3013
Phone: (404) 623-8955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC012152 | Georgia |
Profile Details
| NPI number | 1598470577 |
|---|---|
| LBN Legal business name | Clark, Erica |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2023 |
| Last updated | Jan 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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